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NORTH COUNTRY DENTAL SERVICES, PLLC

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Details

Entity Number 3688154

Status Active

NameNORTH COUNTRY DENTAL SERVICES, PLLC

CountySt. Lawrence

Date of registration 23 Jun 2008 (16 years ago)

Legal typeDOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY

Place of FormationNew York

Address 22 DEPOT STREET, MARKET SQUARE MALL, POTSDAM, NY, United States, 13676

Address ZIP code 13676

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants File

NORTH COUNTRY DENTAL SERVICES CASH BALANCE PLAN

2016

262997224

2017-01-30

NORTH COUNTRY DENTAL SERVICES

5

View Page

Three-digit plan number (PN)002
Effective date of plan2012-01-01
Business code621210
Sponsor’s telephone number3152659320
Plan sponsor’s address22 DEPOT STREET, SUITE 14, POTSDAM, NY, 13676

Signature of

RolePlan administrator
Date2017-01-30
Name of individual signingDANIELLE LABAR

NORTH COUNTRY DENTAL SERVICES CASH BALANCE PLAN

2015

262997224

2016-06-27

NORTH COUNTRY DENTAL SERVICES

5

View Page

Three-digit plan number (PN)002
Effective date of plan2012-01-01
Business code621210
Sponsor’s telephone number3152659320
Plan sponsor’s address22 DEPOT STREET, SUITE 14, POTSDAM, NY, 13676

Signature of

RolePlan administrator
Date2016-06-27
Name of individual signingDANIELLE LABAR

NORTH COUNTRY DENTAL SERVICES CASH BALANCE PLAN

2014

262997224

2015-06-01

NORTH COUNTRY DENTAL SERVICES

4

View Page

Three-digit plan number (PN)002
Effective date of plan2012-01-01
Business code621210
Sponsor’s telephone number3152659320
Plan sponsor’s address22 DEPOT STREET, SUITE 14, POTSDAM, NY, 13676

Signature of

RolePlan administrator
Date2015-06-01
Name of individual signingJEFFREY FOERSTER
RoleEmployer/plan sponsor
Date2015-06-01
Name of individual signingJEFFREY FOERSTER

NORTH COUNTRY DENTAL SERVICES CASH BALANCE PLAN

2013

262997224

2014-09-22

NORTH COUNTRY DENTAL SERVICES

2

View Page

Three-digit plan number (PN)002
Effective date of plan2012-01-01
Business code621210
Sponsor’s telephone number3152659320
Plan sponsor’s address22 DEPOT STREET, SUITE 14, POTSDAM, NY, 13676

Signature of

RolePlan administrator
Date2014-09-22
Name of individual signingJEFFREY FOERSTER
RoleEmployer/plan sponsor
Date2014-09-22
Name of individual signingJEFFREY FOERSTER

NORTH COUNTRY DENTAL SERVICES CASH BALANCE PLAN

2012

262997224

2013-07-25

NORTH COUNTRY DENTAL SERVICES

2

View Page

Three-digit plan number (PN)002
Effective date of plan2012-01-01
Business code621210
Sponsor’s telephone number3152659320
Plan sponsor’s address22 DEPOT STREET, SUITE 14, POTSDAM, NY, 13676

Signature of

RolePlan administrator
Date2013-07-25
Name of individual signingJEFFREY FOERSTER
RoleEmployer/plan sponsor
Date2013-07-25
Name of individual signingJEFFREY FOERSTER

DOS Process Agent

Name Role Address

THE LLC

DOS Process Agent

22 DEPOT STREET, MARKET SQUARE MALL, POTSDAM, NY, United States, 13676

History

Start date End date Type Value

2008-08-12

2010-06-24

Address

22 DEPOT STREET, MARKET STREET MALL, POTSDAM, NY, 13676, USA (Type of address: Service of Process)

2008-06-23

2008-08-12

Address

8613 HOLLY POND PLACE, GAITHERSBURG, MD, 20886, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date

140626006392

2014-06-26

BIENNIAL STATEMENT

2014-06-01

120716002424

2012-07-16

BIENNIAL STATEMENT

2012-06-01

100624002111

2010-06-24

BIENNIAL STATEMENT

2010-06-01

081001000775

2008-10-01

CERTIFICATE OF PUBLICATION

2008-10-01

080812000119

2008-08-12

CERTIFICATE OF CHANGE

2008-08-12

080623000907

2008-06-23

ARTICLES OF ORGANIZATION

2008-06-23

Date of last update: 31 Jul 2024

Sources: Companies info , Historical Data , Complaints , Contacts